Women Teaching Women: Retooling Your Clinical Toolbox

05 - Shergill

Pdf Summary

In this document, Dr. Amandeep Shergill discusses the importance of applying ergonomics to gastroenterology practice. The aim is to prevent endoscopy-related injuries (ERI), which occur in a significant percentage of cases and can lead to a range of adverse events, including the need for surgery. The learning objectives of the course include understanding the principles of ergonomics, identifying risk factors for ERI, optimizing posture in the endoscopy suite, implementing controls in the endoscopy unit, and practicing pre- and post-procedure stretching exercises.<br /><br />Ergonomics is the study of how work affects people physically and cognitively, with the goal of optimizing the fit between a job and an individual. In the context of endoscopy, ergonomics focuses on minimizing work-related musculoskeletal disorders (WMSDs) by considering external and internal loads and tissue tolerances. WMSD symptoms typically include aching and tiredness in the affected limb, which can progress if not addressed.<br /><br />The document emphasizes the importance of neutral postures and the use of ergonomic principles in the endoscopy suite. This includes adjusting the workstation, monitor, and patient position to optimize fit and minimize forces on the body. It also highlights the need for ergonomic controls, such as adjustable instruments and equipment, as well as the implementation of administrative controls like scheduled breaks and endoscope maintenance.<br /><br />The document provides specific recommendations for optimizing technique, including the use of neutral postures, proper grip techniques, and taking microbreaks during procedures to rest and shake out hands. It also suggests the use of anti-fatigue mats, cushioned insoles, and compression stockings to reduce lower extremity pain and improve blood flow.<br /><br />Overall, applying ergonomics to gastroenterology practice can help reduce the risk of ERI and improve the well-being of healthcare professionals. By following the recommended practices and implementing ergonomic controls, healthcare providers can create a safer and more comfortable working environment.

Keywords

ergonomics

gastroenterology practice

endoscopy-related injuries

adverse events

learning objectives

risk factors

neutral postures

ergonomic controls

technique optimization

healthcare professionals